Organization
PIONEER VALLEY ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK H TWYEFFORT,III CPO (PRESIDENT)
(413) 788-9655
Entity
Organization
Contact information
Practice address
138 DOTY CIR, WEST SPRINGFIELD, MA 01089-1310
(413) 788-9655
(413) 732-0828
Mailing address
138 DOTY CIR, WEST SPRINGFIELD, MA 01089-1310
(413) 788-9655
(413) 732-0828
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
P&O-722
MA
335E00000X
Prosthetic/Orthotic Supplier
Primary
P&O-722
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520008
—
MA
Enumeration date
02/02/2007
Last updated
12/18/2007
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